Which option reflects appropriate professional boundaries with patients on social media?

• A. Accept a patient’s friend request on Facebook.
• B. Decline the friend request and maintain professional communication.
• C. Publicly discuss the patient’s case online.
• D. Share medical advice to all online followers.

Answer: (B)

Keeping interactions with patients within professional boundaries is essential for privacy and trust. On social media, accepting a patient as a friend blends your personal life with the clinical relationship, which can blur lines, create pressure for patients to share sensitive information, and potentially influence your professional judgment. Declining the friend request preserves separation between personal and professional roles and keeps patient communication in appropriate channels—through official patient portals, clinic email, or in-person visits—where privacy and boundaries are clearly maintained.

Discussing a patient’s case publicly or offering medical advice to all followers also breaks confidentiality and can lead to misinterpretation or inappropriate use of information. Those actions undermine trust and safety in care.

So, the best approach is to decline the friend request and maintain professional communication through appropriate, private channels.